Alesia Jo Baxter, RN
Individual provider Active NPI Registered Nurse · Atlantic, IA
NPI 1043789183 · NPPES record last updated Nov 19, 2018
Key facts
- NPI
- 1043789183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 130747 (IA)
- Practice address
- 1500 E 10TH St
Atlantic, IA 50022-1935 - Phone
- (712) 243-2606
- Fax
- (712) 243-2688
- NPI assigned
- Nov 19, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130747 | IA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 130747 | IA | Yes |
Addresses
Primary practice location
1500 E 10TH St
Atlantic, IA 50022-1935
Mailing address
1500 E 10TH St
Atlantic, IA 50022-1935
Phone (712) 243-2606
Other providers in Atlantic, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.